Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $33.86 / $141.80	Facility		$15.45	$33.86	$141.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $15.45 / $29.12	Professional		$2.15	$15.45	$29.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $17.61 / $22.03	Facility		$15.24	$17.61	$22.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $16.93 / $37.21	Professional		$11.63	$16.93	$37.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $19.35 / $29.59	Facility		$18.52	$19.35	$29.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $15.59 / $38.97	Professional		$15.59	$15.59	$38.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $14.43 / $15.30	Facility		$14.43	$14.43	$15.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $18.36 / $34.67	Professional		$13.77	$18.36	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $15.30 / $21.58	Facility		$14.43	$15.30	$21.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $33.09	Professional		$15.30	$15.30	$33.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $13.94	Professional		$13.94	$13.94	$13.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $16.82 / $26.00	Professional		$12.24	$16.82	$26.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $41.09	Professional		$15.30	$15.30	$41.09